Individual provider Active NPI

Rebekkah Nicole Rosa

  • Occupational Therapy Assistant
  • Sanford, FL
National Provider Identifier
1689319048
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
18848 Issued in FL
Practice address
111 E Lake Mary Blvd Ste 113
Sanford, FL 32773-7111
Phone
(407) 203-9492
Fax
(321) 332-9768
NPI assigned
Apr 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 469867 FL
Occupational Therapy Assistant 224Z00000X 18848 FL Primary

Addresses

Primary practice location

111 E Lake Mary Blvd Ste 113
Sanford, FL 32773-7111

Mailing address

703 Ashford Oaks Dr Apt 201
Altamonte Springs, FL 32714-5571
Phone (954) 918-3693

Other practice location 1

201 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 530-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18848FLMDOccupational Therapy Assistant
469867FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Children's Therapy Center, LLC CurrentSince Apr 6, 2023 Accepting new patients
First Step Therapy, LLC PastSince May 1, 2022 Accepting new patients

Locations

111 E Lake Mary Blvd
Ste 113
Sanford, FL 32773
Phone (407) 203-9492

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1689319048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ASHFORD OAKS DR APT 201",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145571",
            "telephone_number": "954-918-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LAKE MARY BLVD STE 113",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737111",
            "telephone_number": "407-203-9492",
            "fax_number": "321-332-9768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 PARK PLACE BLVD",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "34741",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "fax_number": "877-399-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "REBEKKAH",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "469867",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "18848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.